Fortis Hospitals Limited
154/9, Bannerghatta Road.
Opp IIM-B, Bangalore - 560076
Tel +91 80-6621 4444, 2254 4444
Fax +91 80-6621 4242
[email protected] CIN No U93000DL2009PLC222166
OUT PATIENT BILL
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UHID : WHBG.0000887356 Bill Date : 19-Aug-2024 03:26 PM
Patient Name : Mr. ANBALAGAN
Age : 64 Year(s) Bill No. : CS35645395
Sex : Male Bill Type : Cash Bill
Doctor Name : Dr. Athira RamaKrishnan
Sl. No. Services Qty./Type Amount (Rs.)
1. Comprehensive Preventive Health Checkup 1 12000.00
Total Amount : 12000.00
Net Amount : 12000.00
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Amount in words: Rupees Twelve Thousand Only
Received with thanks from Mr. ANBALAGAN M
Payment Mode(s)
CC for Rs. 12000.00 (CCno. 4007, Card Name : VISA CARD)
Cashier
(MOHAMMED SHABEEB)
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Reports needs to be collected between 10 A.M. to 6:30 P.M. within 15 days of the due date.
Please Note this consult is valid for One follow up visit within Five days (Except Psychiatry & Psychology)
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Regd. Office : Fortis Escorts Heart Institute and Research Centre, Okhla Road, New Delhi - 110 025 (India)
www.fortishealthcare.com | www.fortisbangalore.com
